| NPI | 1528034154 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A111777) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 116778) |
| 207R00000X Internal Medicine (Licence: MA 227615) | |
| 207R00000X Internal Medicine (Licence: CA A111777) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 227615) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA A111777) | |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2025-06-24 |